| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $932.62 | $1,047.08 | $1,362.35 | |
Cigna
| Professional | $889.96 | $1,445.46 | $2,676.75 | |
Kaiser Permanente
| Professional | $774.06 | $1,135.28 | $1,548.11 | |
United
| Professional | $486.91 | $1,432.10 | $2,828.45 | |
Wellpoint
| Professional | $104.33 | $104.33 | $104.33 |